目的 了解天津市腫瘤醫(yī)院營養(yǎng)藥物的使用情況,為醫(yī)護人員提供參考.方法 提取2011—2013年天津市腫瘤醫(yī)院營養(yǎng)藥物的應用信息,計算得出購藥金額、限定日費用(DDDc)、用藥頻度(DDDs)及藥品排序比(B/A)等,并進行統(tǒng)計分析.結果 天津市腫瘤醫(yī)院營養(yǎng)藥物的購藥金額2012年比2011年有了大幅的增加,增長率為53.32%,而2013年的購藥金額比2012年減少了6.62%.2011—2013年腸外營養(yǎng)藥物的構成比分別為91.64%、92.26%、91.02%,腸內(nèi)營養(yǎng)藥物的構成比分別為8.36%、7.74%、8.98%,腸外營養(yǎng)藥物所占比例遠遠大于腸內(nèi)營養(yǎng)藥物.所有營養(yǎng)藥物的DDDs均呈逐年上升趨勢,但腸內(nèi)營養(yǎng)藥物的增長幅度要遠遠大于腸外營養(yǎng)藥物;所有營養(yǎng)藥物的DDDc在2011和2012年基本保持不變,但在2013年都有所增加.有5種營養(yǎng)藥物的B/A接近1.00,說明本院購藥與用藥人數(shù)的同步性比較好.結論 隨著營養(yǎng)藥物合理化應用的推廣,天津市腫瘤醫(yī)院營養(yǎng)藥物的應用日趨合理,但因為腫瘤?？漆t(yī)院的特殊性,腸外營養(yǎng)應用還遠遠大于腸內(nèi)營養(yǎng),因此應進一步規(guī)范營養(yǎng)藥物使用,提高腸內(nèi)營養(yǎng)藥物所占的比例.

Objective To investigate the utilization of nutrition drugs in Tianjin Medical University Cancer Institute and Hospital from 2011 to 2013, in order to provide a reference for medical staff. Methods The utilization information of nutrition drugs was extracted, and consumption sum, defined daily cost (DDDc), frequency of drug use (DDDs), and drug sequence ratio (B/A) were calculated and analyzed. Results The consumption sum of nutrition drugs in Tianjin Medical University Cancer Institute and Hospital in 2012 had increased a lot compared with that in 2011. The growth rate was 53.32%. While the consumption sum in 2013 has decreased 6.62% compared with that in 2012. The constituent ratios of parenteral nutrition drugs during 2011—2013 were 91.64%, 92.26%, and 91.02%, respectively. The constituent ratios of enteral nutrition drugs were 8.36%, 7.74%, and 8.98%, respectively. The constituent ratios of parenteral nutrition drugs were more than those of enteral nutrition drugs. DDDs of all nutrition drugs increased year by year. But the increase of enteral nutrition drugs was far more than that of parenteral nutrition drugs. DDDc of all nutrition drugs in 2011 and 2012 kept the same basically, and all increased in 2013. B/A of five nutrition drugs closed to 1.00, indicating that the synchronism between the consumption of the nutrition drugs and the numbers of people who used the drugs was mainly better. Conclusion With the promotion of reasonable application of nutrition drugs, the utilization of nutrition drugs in Tianjin Medical University Cancer Institute and Hospital is more reasonable day by day, as the particularity of the special use in the hospital of tumor, the using of parenteral nutrition drugs is much larger than that of enteral nutrition drugs. Therefore the using of nutrition drugs should be further standardized to improve the ratio of enteral nutrition drugs.